Smout Shelby A, Guidry Jeanine P D, Benotsch Eric G
Department of Psychology, University of Richmond, Richmond, Virginia, USA.
Richard T. Robertson School of Media and Culture, Virginia Commonwealth University, Richmond, Virginia, USA.
Transgend Health. 2024 Dec 16;9(6):565-572. doi: 10.1089/trgh.2023.0032. eCollection 2024 Dec.
The goal of this study was to assess possible psychosocial contributors to delayed coronavirus disease 2019 (COVID-19) vaccination within a sample of transgender and gender diverse (TGD) individuals.
TGD participants (=385) were recruited from Prolific.co. Survey items assessed COVID-19 vaccination status, experiences of discrimination in health care settings, medical mistrust, COVID-19 mistrust, and perceived barriers to vaccination. Logistic regressions were conducted using SPSS version 27 to assess whether demographic variables, medical mistrust, experiences of discrimination in health care, and COVID-19 mistrust predicted vaccination behaviors. A PATH model was developed using AMOS 21.0 to assess the relationship among experiences of discrimination, general medical mistrust, COVID-19 mistrust, and barriers to vaccination in predicting receipt of a booster at the time of the study.
Results from the logistic regressions indicated a binary TGD identity and higher COVID-19 mistrust predicted experiencing a delayed first dose of a COVID-19 vaccination and receipt of a booster at the time of the study over and above racial identity, experiences of discrimination, and general medical mistrust. Results from a PATH model indicated an association among experiences of discrimination in health care, medical mistrust, COVID-19 mistrust, barriers to vaccination, and having not received a booster at the time of the study.
These findings support prior research demonstrating that vaccination rates among TGD individuals do not differ from other groups. However, TGD individuals with a binary gender may have experienced or anticipated experiencing barriers to COVID-19 vaccination and/or receipt of a booster. Public health and clinical implications for these findings are discussed.
本研究的目的是在跨性别和性别多样化（TGD）个体样本中评估可能导致2019冠状病毒病（COVID-19）疫苗接种延迟的社会心理因素。
从Prolific.co招募了TGD参与者（=385）。调查项目评估了COVID-19疫苗接种状况、医疗保健环境中的歧视经历、对医疗的不信任、对COVID-19的不信任以及感知到的疫苗接种障碍。使用SPSS 27版进行逻辑回归，以评估人口统计学变量、对医疗的不信任、医疗保健中的歧视经历以及对COVID-19的不信任是否能预测疫苗接种行为。使用AMOS 21.0开发了一个路径模型，以评估歧视经历、对一般医疗的不信任、对COVID-19的不信任以及疫苗接种障碍在预测研究时接受加强针方面的关系。
逻辑回归结果表明，二元TGD身份和更高的对COVID-19的不信任预测了在研究时经历COVID-19首剂疫苗接种延迟和接受加强针，这超过了种族身份、歧视经历和对一般医疗的不信任。路径模型的结果表明，医疗保健中的歧视经历、对医疗的不信任、对COVID-19的不信任、疫苗接种障碍以及在研究时未接受加强针之间存在关联。
这些发现支持了先前的研究，即TGD个体的疫苗接种率与其他群体没有差异。然而，具有二元性别的TGD个体可能经历或预期会经历COVID-19疫苗接种和/或接受加强针的障碍。讨论了这些发现对公共卫生和临床的影响。
